DR. ELMER G JR. SMITH (MD) – Internal Medicine Physician, NPI 1699793992
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for DR. ELMER G JR. SMITH (MD)
817 MATISSE DR APT 312
FORT WORTH, TX 761072377
Phone: (817) 564-5073
Type: Mailing
6120 MAYFAIR MEWS
NORTH RICHLAND HILLS, TX 761801412
Phone: (817) 564-5073
Type: Mailing
1999 FOREST RIDGE DR
BEDFORD, TX 760215724
Phone: (682) 738-3158
Fax: (682) 738-3111
Type: Location
Summer Moon Coffee, 817, Matisse Drive, Fort Worth, Tarrant County, Texas, 76196, United States
FORT WORTH, TX 76107
Phone: (817) 564-5073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 241 Open Payments records for all available years, with a total value of $4,934.
Total Amount is formed as General ($4,934) + Research ($0) + Ownership ($0) = $4,934.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($681).
Total Amount
$4,934
General + Research + Ownership
Payments
241
Total payment records
General Amount
$4,934
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $681 |
| Bayer Healthcare Pharmaceuticals Inc. | $463 |
| Lilly USA, LLC | $287 |
| Novo Nordisk Inc | $217 |
| Teva Pharmaceuticals USA, Inc. | $211 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100811000950 | I | Internal Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 81002 | Urinalysis, manual test | 46 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Family Practice | TX | |
| Internal Medicine | TX | |
| Internal Medicine, Internal Medicine, Hospitalist, Hospitalist | TX | |
| Internal Medicine | TX | |
| Internal Medicine, Pulmonary Disease | WI |
Reviews
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